Most Relevant Information
Provider Data
| NPI Number: | 1003645151 |
| Provider Name: | ZAIN BLACKWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2024 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
4301 W MARKHAM ST
LITTLE ROCK
AR
722057101
Practice Location Phone/Fax
| Phone: | 5016868000 |
| Fax: |
Provider Mailing Location
121 N SPRUCE ST
LITTLE ROCK
AR
722053834
Provider Mailing Phone/Fax
| Phone: | 4796848023 |
| Fax: |